Individual
MR. JOSEPH JACK BELLOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSOTR
Contact information
Practice address
95 SCHWINN DR, CLARK, NJ 07066-2724
(908) 472-5419
Mailing address
95 SCHWINN DR, CLARK, NJ 07066-2724
(908) 472-5419
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00561700
NJ
Other
Enumeration date
07/31/2016
Last updated
07/31/2016
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